OBJECTIVE: To find out the best surgical treatment for chronic severe aspiration with different pathogenesis. METHOD: Eight patients with severe aspiration were treated by 3 surgical methods. Six of 8 cases were perfomed tracheotomy. The cannula had a gasbag and the gasbag was inflated before eating food every time. Epiglottic flap closure for one patient with intractable aspiration. Stomach-stomy for the case with tracheoasophageal fistula. RESULT: There did not found aspiratory pneumonia in all cases after following up for 9 months to 4.5 years. The six cases with tracheotomy could eating normally and their phonation were reserved. Only one case has a slight aspiration. The patient with epiglottic flap closure hadn't aspirated when eating. The stomach-stomy could prevent the aspiration in having meal. CONCLUSION: Tracheotomy, epiglottic flap closure and stomach-stomy are all the effective surgical treatment for chronic severe aspiration. Any of 3 surgical methods should be selected according to the etiology, the degree of aspiration and the patient's condition, so as to improve the quality of the patient's life.
OBJECTIVE: To find out the best surgical treatment for chronic severe aspiration with different pathogenesis. METHOD: Eight patients with severe aspiration were treated by 3 surgical methods. Six of 8 cases were perfomed tracheotomy. The cannula had a gasbag and the gasbag was inflated before eating food every time. Epiglottic flap closure for one patient with intractable aspiration. Stomach-stomy for the case with tracheoasophageal fistula. RESULT: There did not found aspiratory pneumonia in all cases after following up for 9 months to 4.5 years. The six cases with tracheotomy could eating normally and their phonation were reserved. Only one case has a slight aspiration. The patient with epiglottic flap closure hadn't aspirated when eating. The stomach-stomy could prevent the aspiration in having meal. CONCLUSION: Tracheotomy, epiglottic flap closure and stomach-stomy are all the effective surgical treatment for chronic severe aspiration. Any of 3 surgical methods should be selected according to the etiology, the degree of aspiration and the patient's condition, so as to improve the quality of the patient's life.
Authors: Karen M Vernau; Stanley L Marks; Maggie A Kuhn; William T N Culp; Tammy J Owens; G Diane Shelton; Tausif Siddiqui; Rachel Pollard; Peter C Belafsky Journal: Can Vet J Date: 2016-07 Impact factor: 1.008